Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.02 / $2,170.73 / $6,422.00	Facility		$122.02	$2,170.73	$6,422.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.82 / $27.82 / $55.47	Facility	52	$27.82	$27.82	$55.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $110.93 / $181.76	Professional		$55.64	$110.93	$181.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $114.98 / $114.98	Professional		$114.98	$114.98	$114.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,247.85 / $1,956.73 / $3,052.64	Facility		$1,247.85	$1,956.73	$3,052.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $152.97 / $176.08	Professional		$74.84	$152.97	$176.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $599.29 / $599.29	Facility		$599.29	$599.29	$599.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $118.67 / $228.76	Professional		$75.81	$118.67	$228.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.05 / $138.66 / $2,038.67	Facility		$59.05	$138.66	$2,038.67
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $233.74 / $233.74 / $233.74	Facility	52	$233.74	$233.74	$233.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $179.10 / $1,142.11	Professional		$121.79	$179.10	$1,142.11
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,279.00 / $2,637.00	Facility		$375.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $156.43 / $215.92	Professional		$118.92	$156.43	$215.92